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Assessing the Effectiveness of Self- and Clinician-administered Crisis Response Planning for Suicide Risk

Not Applicable
Completed
Conditions
Suicidal Ideation
Suicide, Attempted
Interventions
Behavioral: Crisis Response Planning for Suicide Risk
Registration Number
NCT04903431
Lead Sponsor
Ohio State University
Brief Summary

The aim of the current project is to compare the use and preliminary effectiveness of a self-administered version of the Crisis Response Plan (CRP) in decreasing suicidal/death ideation and distress and increasing positive affect when compared to a clinician-administered version of the protocol in a sample of 150 military Veterans experiencing current death or suicidal ideation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
75
Inclusion Criteria
  • 18 years of age or older
  • US military veteran
  • death or suicidal ideation/suicide attempt within the past month
Exclusion Criteria
  • non-Veteran status
  • acute intoxication or active psychosis precluding provision of informed consent
  • inability to communicate and comprehend English
  • residence outside the United States
  • lack of past-month death/suicide ideation or attempt
  • lack of device connected to webcam or internet

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Clinician-administered Crisis Response PlanCrisis Response Planning for Suicide RiskClinicians will administer the Crisis Response Plan to 75 military veterans.
Self-administered Crisis Response PlanCrisis Response Planning for Suicide RiskParticipants will complete a self-guided version of the Crisis Response plan online.
Primary Outcome Measures
NameTimeMethod
Change in Suicide Visual Analog Scale scores from the previous daily assessmentAdministered daily for eight consecutive days

The Suicide Visual Analog Scale The S-VAS assesses "urge to kill myself" using a horizontal line with anchors on the left reflecting "none" (score: 0) and on the right reflecting "extreme" (score: 100). The S-VAS is initially presented with the indicator on the "none" position, and non-movement of the indicator is followed by a prompt to remind the participant to move the indicator, if relevant, to ensure response accuracy. Higher scores are indicative of greater severity

Secondary Outcome Measures
NameTimeMethod
Change in Patient Health Questionnaire - 2 scores from the previous daily assessmentAdministered daily for eight consecutive days

The PHQ-2 is a 2-item measure of depression symptom severity adapted from the 9-item version of the PHQ (Kroenke \& Spitzer, 2002). Item responses are scores on a Likert scale ranging from 0 to 3. Total scores range from 0 to 6, with higher scores indicating greater symptom severity.

Change in Positive and Negative Affect Schedule - Short Form scores from the previous daily assessmentAdministered daily for eight consecutive days

The Positive and Negative Affect Schedule - Short Form a 20-item validated self-report measure of state positive and negative affect. The measure contains two, 10-item subscales measuring positive and negative affect, respectively. Possible total scores for each subscale range from 10 to 50, with higher scores indicating greater state affect.

Change in Crisis Response Plan Use from the previous daily assessmentAdministered daily for eight consecutive days

- In order to assess whether CRP use after completion impacts suicide urges and affect, participants will be instructed to "Please list all dates and times that you used part or all of the Crisis Response Plan that you completed since you last completed this survey. (or since you completed your Crisis Response Plan if this is the first survey you will complete)" You may provide us with your best estimates of dates and times."

Trial Locations

Locations (1)

The Ohio State University

🇺🇸

Columbus, Ohio, United States

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